Susan Anne George, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3883-125 Issued in WI

Practice address

439 S Main St
Fond Du Lac, WI 54935-4951

Phone

(920) 251-7005

NPI assigned

Apr 12, 2013

Last updated

Apr 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Susan Anne Fowler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1588007165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W4460 MARY HILL PARK DR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549379313",
            "telephone_number": "920-929-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 S MAIN ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354951",
            "telephone_number": "920-251-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SUSAN",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3883-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FOWLER",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joan Geiger, CST
• Marnie A Geiger, CRNA
• Lynn Marie Genz, LPC
• Shelby Genzmer
• Mary A Georg, RD, CD
• Anne Rachel Gerou, RN,NP
• Teresa R Giese, RN
• Jennifer I Giesige, D.O
• Lauren Gilanyi, M.S. CFY-SLP
• Danielle Diane Giles, MSW, APSW

• Professional Counselor in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.